LEON FAIBISOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030787

License Status

NOT RENEWED

Business

First Name

LEON

Last Name

FAIBISOFF

Business Name

LEON FAIBISOFF

Original Issue Date

03/03/1976

Effective Date

03/03/1976

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005